[go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v10y2018i5p1560-d146264.html
   My bibliography  Save this article

Analysis of Travel Decision-Making for Urban Elderly Healthcare Activities under Temporal and Spatial Constraints

Author

Listed:
  • Xuefeng Li

    (School of Transportation, Southeast University, Nanjing 211189, China)

  • Yong Zhang

    (School of Transportation, Southeast University, Nanjing 211189, China)

  • Mingyang Du

    (School of Transportation, Southeast University, Nanjing 211189, China)

Abstract
This paper explores the travel decision-making process of healthcare behavior of urban elderly under different temporal and spatial constraints. Firstly, based on time geography, a two-dimensional space-time trip chain is applied and the concept of healthcare constraint degree (HCD) is proposed. Then, the elderly’s medical treatment activities are divided into two categories: strong constraint activity and weak constraint activity, based on 625 samples in Kunming, China. Lastly, an improved multinomial logit model is adopted to determine the significant factors affecting the travel mode choice of these two types of activities. The results show that the travel mode choice of the elderly to healthcare facilities is not the same under different spatio-temporal constraints: strong constraint activity is mainly affected by external factors (such as travel time, travel distance, bus station distance and walking accessibility), whereas weak constraint activity is influenced by internal family factors (such as car pick-up, accompanied by family, and the number of family members with a driver’s license). These findings present a new perspective for understanding the healthcare behavior of the elderly and provide a convincing support for the formulation of urban transportation planning policies.

Suggested Citation

  • Xuefeng Li & Yong Zhang & Mingyang Du, 2018. "Analysis of Travel Decision-Making for Urban Elderly Healthcare Activities under Temporal and Spatial Constraints," Sustainability, MDPI, vol. 10(5), pages 1-15, May.
    • Handle: RePEc:gam:jsusta:v:10:y:2018:i:5:p:1560-:d:146264
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/10/5/1560/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/10/5/1560/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sandra Rosenbloom, 2001. "Sustainability and automobility among the elderly: An international assessment," Transportation, Springer, vol. 28(4), pages 375-408, November.
    2. Scheiner, Joachim, 2010. "Social inequalities in travel behaviour: trip distances in the context of residential self-selection and lifestyles," Journal of Transport Geography, Elsevier, vol. 18(6), pages 679-690.
    3. Bijan J. Borah, 2006. "A mixed logit model of health care provider choice: analysis of NSS data for rural India," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 915-932, September.
    4. repec:cai:popine:popu_p2001_13n1_0116 is not listed on IDEAS
    5. Ron N. Buliung & Pavlos S. Kanaroglou, 2006. "Urban Form and Household Activity‐Travel Behavior," Growth and Change, Wiley Blackwell, vol. 37(2), pages 172-199, June.
    6. Alsnih, Rahaf & Hensher, David A., 2003. "The mobility and accessibility expectations of seniors in an aging population," Transportation Research Part A: Policy and Practice, Elsevier, vol. 37(10), pages 903-916, December.
    7. Sisira Sarma, 2009. "Demand for outpatient healthcare," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 265-277, December.
    8. Ron Buliung & Matthew Roorda & Tarmo Remmel, 2008. "Exploring spatial variety in patterns of activity-travel behaviour: initial results from the Toronto Travel-Activity Panel Survey (TTAPS)," Transportation, Springer, vol. 35(6), pages 697-722, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Linghan Zhang & Junyi Zhang, 2018. "Impacts of Leisure and Tourism on the Elderly’s Quality of Life in Intimacy: A Comparative Study in Japan," Sustainability, MDPI, vol. 10(12), pages 1-17, December.
    2. Du, Fangye & Mao, Liang & Wang, Jiaoe, 2021. "Determinants of travel mode choice for seeking healthcare: A comparison between elderly and non-elderly patients," Journal of Transport Geography, Elsevier, vol. 92(C).
    3. Kaniz Fatima & Sara Moridpour & Chris De Gruyter & Tayebeh Saghapour, 2020. "Elderly Sustainable Mobility: Scientific Paper Review," Sustainability, MDPI, vol. 12(18), pages 1-17, September.
    4. Long Chen & Chenglu Yang & Peng Jing & Qifen Zha & Xingyue Wang & Weichao Wang, 2023. "Are they willing to switch from non-driving to driving? An exploratory study among Chinese older people," Transportation, Springer, vol. 50(4), pages 1125-1163, August.
    5. Fangye Du & Jiaoe Wang & Yu Liu & Zihao Zhou & Haitao Jin, 2022. "Equity in Health-Seeking Behavior of Groups Using Different Transportations," IJERPH, MDPI, vol. 19(5), pages 1-16, February.
    6. Gao, Ya & Pan, Haixiao & Xie, Zhilin & Habib, Khandker Nurul, 2023. "Understanding patients heterogeneity in healthcare travel and hospital choice - A latent class analysis with covariates," Journal of Transport Geography, Elsevier, vol. 110(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ahmad, Zaheer & Batool, Zahara & Starkey, Paul, 2019. "Understanding mobility characteristics and needs of older persons in urban Pakistan with respect to use of public transport and self-driving," Journal of Transport Geography, Elsevier, vol. 74(C), pages 181-190.
    2. Cheng, Long & Chen, Xuewu & Yang, Shuo & Cao, Zhan & De Vos, Jonas & Witlox, Frank, 2019. "Active travel for active ageing in China: The role of built environment," Journal of Transport Geography, Elsevier, vol. 76(C), pages 142-152.
    3. Julian Hine & Md. Kamruzzaman & Neale Blair, 2012. "Weekly activity-travel behaviour in rural Northern Ireland: differences by context and socio-demographic," Transportation, Springer, vol. 39(1), pages 175-195, January.
    4. Raza, W.A. & Panda, P. & Van de Poel, E. & Dror, D.M. & Bedi, A.S., 2013. "Healthcare Seeking Behavior among Self-help Group Households in Rural Bihar and Uttar Pradesh, India," ISS Working Papers - General Series 50172, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    5. Su, Rongxiang & Xiao, Jingyi & McBride, Elizabeth C. & Goulias, Konstadinos G., 2021. "Understanding senior's daily mobility patterns in California using human mobility motifs," Journal of Transport Geography, Elsevier, vol. 94(C).
    6. Schmöcker, Jan-Dirk & Quddus, Mohammed A. & Noland, Robert B. & Bell, Michael G.H., 2008. "Mode choice of older and disabled people: a case study of shopping trips in London," Journal of Transport Geography, Elsevier, vol. 16(4), pages 257-267.
    7. Santosh Kumar & Emily Dansereau, 2014. "Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-9, August.
    8. Yang, Yongjiang & Sasaki, Kuniaki & Cheng, Long & Tao, Sui, 2022. "Does the built environment matter for active travel among older adults: Insights from Chiba City, Japan," Journal of Transport Geography, Elsevier, vol. 101(C).
    9. Perchoux, Camille & Kestens, Yan & Thomas, Frédérique & Hulst, Andraea Van & Thierry, Benoit & Chaix, Basile, 2014. "Assessing patterns of spatial behavior in health studies: Their socio-demographic determinants and associations with transportation modes (the RECORD Cohort Study)," Social Science & Medicine, Elsevier, vol. 119(C), pages 64-73.
    10. Khandker Habib, 2015. "An investigation on mode choice and travel distance demand of older people in the National Capital Region (NCR) of Canada: application of a utility theoretic joint econometric model," Transportation, Springer, vol. 42(1), pages 143-161, January.
    11. Biranchi Adhikari & Ajay Kumar Behera & Rabindra Narayan Mahapatra & Harish Chandra Das, 2022. "Retracted: An empirical model for Indian senior citizens in traffic management," Growth and Change, Wiley Blackwell, vol. 53(1), pages 35-56, March.
    12. Kamyar Hasanzadeh & Tiina Laatikainen & Marketta Kyttä, 2018. "A place-based model of local activity spaces: individual place exposure and characteristics," Journal of Geographical Systems, Springer, vol. 20(3), pages 227-252, July.
    13. Theo Arentze & Harry Timmermans & Peter Jorritsma & Marie-José Olde Kalter & Arnout Schoemakers, 2008. "More gray hair—but for whom? Scenario-based simulations of elderly activity travel patterns in 2020," Transportation, Springer, vol. 35(5), pages 613-627, August.
    14. Haseeb, Attiya & Mitra, Raktim, 2023. "Do environmentally sustainable travel behaviours contribute to transportation-related social exclusion?," Journal of Transport Geography, Elsevier, vol. 113(C).
    15. Burnett, Pat & Lucas, Susan, 2010. "Talking, walking, riding and driving: The mobilities of older adults," Journal of Transport Geography, Elsevier, vol. 18(5), pages 596-602.
    16. Kaniz Fatima & Sara Moridpour & Tayebeh Saghapour, 2021. "Spatial and Temporal Distribution of Elderly Public Transport Mode Preference," Sustainability, MDPI, vol. 13(9), pages 1-15, April.
    17. Kumar, Santosh & Dansereau, Emily & Murray, Chris, 2012. "Does Distance matter for Institutional Delivery in Rural India? An Instrumental Variable Approach," MPRA Paper 45762, University Library of Munich, Germany, revised 01 Jan 2013.
    18. He, Sylvia Y. & Cheung, Yannie H.Y. & Tao, Sui, 2018. "Travel mobility and social participation among older people in a transit metropolis: A socio-spatial-temporal perspective," Transportation Research Part A: Policy and Practice, Elsevier, vol. 118(C), pages 608-626.
    19. Hitomi Nakanishi & John Black, 2015. "Social Sustainability Issues and Older Adults’ Dependence on Automobiles in Low-Density Environments," Sustainability, MDPI, vol. 7(6), pages 1-21, June.
    20. Antonio Paez & Darren Scott & Dimitris Potoglou & Pavlos Kanaroglou & K. Bruce Newbold, 2007. "Elderly Mobility: Demographic and Spatial Analysis of Trip Making in the Hamilton CMA, Canada," Urban Studies, Urban Studies Journal Limited, vol. 44(1), pages 123-146, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:10:y:2018:i:5:p:1560-:d:146264. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.